( 60-70 mg/dl )

Whipple
1.

2.

70mg/dl

3.

( <80 mg/dl )

-
( < 70-65 mg/dl )

( < 70-65 mg/dl )

DCCT study

ACCORD

ADVANCE

VADT

10,251

11,140

1,791

62

66

60

10

11.5

3.5 (
)

5.6

(%)

35

32

40

~80%

+++
~40%

HbA1c

8.1

7.2

9.4

HbA1c

6.4 vs. 7.5

6.3 vs. 7.0

6.9 vs. 8.5

/100 -

3.2

0.7

9.0

: , , ,
,,, ,
:,,

:, ,,.
, ,
:

,,

Plasma
glucose
mg/dl
80 (4.4)
(mmol/L)
70 (3.9)

Suppression of insulin release

NO SYMPTOMS

Onset of counterregulatory hormone release

Autonomic
symptoms
55 (3.1)

Onset of cognitive dysfunction

Neuroglycopenic
symptoms

25 (1.3)

EEG changes

Seizures
Coma

(<40 mg/dl )

stick glu < 70mg/dl

stick < 70mg/dl

stick > 70 mg/dl

,
, ,
, ,

- ,
, ,

 1

( )

: /
/
:

()

??

10-20 gr. CHO-
tb 5gr
( , 1-2
, coca cola,)
*
,

1)
2)
3)

I inj
0.5 -1mg

1)
2) inj
3)

40-50 gr cho
orally

1)
2) cho
3)

35% GLUCOSE
IV

CHO ORALY

D/W 10 %
50-200ML/H IV

INJ GLUCAGON

ADA 2012 (E )

( )

CGM
()